ZipRecruiter

Log In

1

Lpn Utilization Management Jobs (NOW HIRING)

OpTech LLC

RN Utilization Management

Detroit, MI · On-site

Registered Nurse unrestricted/current Michigan RN license * 2 + yr clinical experience - acute care * Utilization Management experience/role * Technical - MS Office, Type 35+ WPM, Dual monitors ...

Covenant Health

RN UTILIZATION MGMT I

Knoxville, TN · On-site

Current licensure as a Registered Nurse (RN) as issued by the State of Tennessee. CCM/CPHQ certification preferred or equivalent expertise in area of Utilization Management as evidenced by ...

Virginia Gay Hospital

Utilization Tech

Vinton, IA · On-site

Would prefer candidate to have previous education and experience as an MA/RN/LPN, Utilization Review Nurse and/or have experience in physician office preauthorization and utilization review.

Merit Health River Region

LPN Case Manager PRN

Vicksburg, MS · On-site

$24.50 - $32.25/hr

Experience in utilization review, case management, or discharge planning preferred Knowledge ... Licenses and Certifications * LPN - Licensed Practical Nurse - State Licensure Licensure in state ...

previous pagenext page

Showing results 21-40

All JobsHealthcare JobsNursing JobsNurse Case Manager JobsLpn Utilization Management Jobs

Lpn Utilization Management information

See salary details

$15

$29

$43

How much do lpn utilization management jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for lpn utilization management in the United States is $29.88, according to ZipRecruiter salary data. Most workers in this role earn between $24.76 and $33.65 per hour, depending on experience, location, and employer.

What is an LPN Utilization Management nurse?

An LPN Utilization Management nurse is a Licensed Practical Nurse who works within the healthcare system to review and evaluate the necessity, appropriateness, and efficiency of healthcare services and treatments. Their primary role is to help ensure patients receive the right care while managing healthcare costs and resources effectively. They often work with insurance companies, hospitals, or clinics, collaborating with other healthcare professionals to make determinations about coverage and care plans. This position requires strong analytical skills, communication abilities, and a solid understanding of medical guidelines and regulations.

What are the key skills and qualifications needed to thrive as an LPN Utilization Management nurse?

To thrive as an LPN Utilization Management Nurse, you need a current LPN license, strong clinical knowledge, and experience in care coordination or case management. Familiarity with utilization review software, electronic health records (EHRs), and compliance tools is often required, along with knowledge of insurance and regulatory guidelines. Excellent communication, critical thinking, and organizational skills are crucial for collaborating with healthcare teams and advocating for patients. These skills ensure effective resource utilization, regulatory compliance, and high-quality patient outcomes.

What are some common challenges LPNs face in utilization management roles, and how can they be addressed?

LPNs in Utilization Management often encounter challenges such as interpreting complex medical records, balancing administrative tasks with clinical judgment, and keeping up with evolving insurance guidelines. To address these, it's helpful to develop strong attention to detail, stay current with payer requirements, and seek mentorship or ongoing training in medical coding and documentation. Collaboration with RNs, physicians, and case managers is key to overcoming these hurdles and ensuring accurate, efficient patient care assessments.

What is the difference between Lpn Utilization Management vs Lpn Case Management?

AspectLpn Utilization ManagementLpn Case Management
CertificationsLicensed Practical Nurse (LPN)Licensed Practical Nurse (LPN)
Work EnvironmentInsurance companies, utilization review departmentsHospitals, clinics, community health settings
Primary FocusReviewing medical necessity and insurance coverageCoordinating patient care and discharge planning
Employer & Industry UsageInsurance providers, managed care organizationsHealthcare facilities, outpatient clinics

While both roles require an LPN license, Lpn Utilization Management focuses on reviewing medical necessity for insurance purposes, whereas Lpn Case Management emphasizes coordinating patient care and discharge planning. Understanding these differences helps in choosing the right career path or job search focus within healthcare.

More about Lpn Utilization Management jobs

What cities are hiring for Lpn Utilization Management jobs?

Cities with the most Lpn Utilization Management job openings:

What states have the most Lpn Utilization Management jobs?

States with the most job openings for Lpn Utilization Management jobs include:

What job categories do people searching Lpn Utilization Management jobs look for?

The top searched job categories for Lpn Utilization Management jobs are:

Lpn Utilization Management jobs near you
Infographic showing various Lpn Utilization Management job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 13% Part Time, and 2% Contract. Highlights an 83% Physical, 2% Hybrid, and 15% Remote job distribution, with an average salary of $62,140 per year, or $29.9 per hour.

Licensed Practical Nurse (LPN)

Le CYR Consulting

Fort Carson, CO • On-site

$50 - $70/hr

Other

Re-posted 18 days ago

Job description

Job Title: Licensed Practical Nurse (LPN) Tentative Start Date: December 1, 2025 Work Schedule: Monday–Friday, 8-hour shifts between 0600–1700 , excluding federal holidays Qualifications
  • Education:Graduate of a practical nursing program accredited by a U.S. agency.
  • Experience:Minimum of 3 years of clinical nursing experience within the last 5 years. Experience in referral management, TRICARE systems, or military healthcare environments highly preferred.
  • License/Certification:Current, full, active, and unrestricted LPN license in a U.S. jurisdiction; BLS certification required.
  • Other Requirements:
    • Must be a U.S. Citizen.
    • Proficiency with Microsoft Office (Word, Excel, Access) and EHR systems (GENESIS preferred).
    • Strong communication, organizational, and customer service skills.
    • Knowledge of patient privacy, HIPAA regulations, and medical ethics.
Documents Required for Submission
  • Updated Resume (With all gaps explained)
  • Current, full, active, unrestricted license as a Licensed Practical Nursein any U.S. state or territory.
  • Basic Life Support (BLS) certification.
Responsibilities
  • Provide direct patient care under the supervision of physicians and Registered Nurses (RNs).
  • Perform patient assessments, document vital signs, administer medications, and update patient records.
  • Support the Referral Management Team by processing, tracking, and coordinating specialty care referrals.
  • Educate patients and families on treatment plans, medication use, and health benefits.
  • Assist in analyzing referral and utilization data, preparing reports, and ensuring compliance with TRICARE and DHA policies.
  • Act as a liaison between patients, providers, and referral management centers to ensure continuity of care.
  • Maintain accurate nursing and referral records, ensuring timely data entry into EHR systems.
  • Demonstrate knowledge of utilization management and review (UM/UR) principles when supporting referral workflows.
  • Provide consultation and administrative support for TRICARE beneficiaries.
#J-18808-Ljbffr

Apply